Medical X-Ray Worker Certificate
Initial training for operators of medical x-ray equipment must
consist of 6 hours and cover the following topics*
I, the undersigned, have received training in the following subjects/items:
□ PROTECTION AGAINST RADIATION
1. Protective Clothing
2. Patient Holding
3. Time, Distance, Shielding
4. Radiation Protection Standards: UGA Vet Med policies and procedures, State and
Federal Regulations, use of dosimetry, use of radiation-detection equipment
5. Biological Effects of Radiation: Effects at various exposure levels, symptoms of acute
exposure, reporting requirements, human case histories
□ DARK-ROOM TECHNIQUES (if applicable)
1. Cassettes, Screens, Film Protection, Chemicals
2. Operation of Developer
□ PATIENT PROTECTION
1. Beam Limitation
2. Setting Up Techniques: Exam techniques, patient preparation and restraints
3. Biological Effects of Radiation: Case histories
□ MACHINE SAFETY
1. Machine Functions
2. Safety Procedures
3. Recognizing Problems
Name (printed)
Name (signature)
Date
Principal Investigator (printed)
Principal Investigator (signature)
*Rules and Regulations for X-Rays, Chapter 290-5-22, State of Georgia
Date